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vider. The MPI Health Plans have experienced<br />

better than anticipated control<br />

over health care costs for the last several<br />

years. Notably in 2016, total health plan<br />

costs were $10 million below original estimates.<br />

The MPI Plans have accomplished<br />

these results primarily due to strong provider<br />

networks overseen by the Plan’s<br />

staff, an outside consulting firm, and the<br />

diligent work of the benefits and appeals<br />

committee.<br />

Furthermore, effective management<br />

of all the MPI’s service contracts, including<br />

Anthem, Express Scripts, VSP and<br />

Delta Dental, along with increased employer<br />

contributions, and modest participant<br />

premiums for dependents, have<br />

allowed the MPIPHP to maintain superior<br />

health insurance benefits.<br />

The Plan’s key Southern California<br />

provider of outpatient medical services,<br />

The Motion Picture and Television Fund’s<br />

Health Network, which is comprised of six<br />

clinic locations, along with its referral relationships<br />

with over 500 specialists in the<br />

Southern California area, was acquired by<br />

UCLA Health in 2014. The MPI continues<br />

to work with UCLA Health to provide<br />

top level care to our industry participants.<br />

Because of collaboration between<br />

primary care doctors and the specialists,<br />

there is less duplication of services (i.e.,<br />

MRIs and other scans). Approximately 40<br />

percent of the participants are using the<br />

clinics, which has reduced costs for them<br />

and for the Plan.<br />

A prescription drug contract with<br />

Express Scripts was renewed in 2015 and<br />

a recent market evaluation of the prescription<br />

drug benefit will result in additional<br />

savings. Prescription drugs are<br />

increasingly a primary driver of health<br />

plan costs. Prescription drug costs of the<br />

Active Health Plan exceed $100 million<br />

per year and in the Retiree Health Plan,<br />

prescriptions are equivalent to the hospital<br />

and medical/HMO coverage combined.<br />

The ability of our outside consultant<br />

to properly measure the market for<br />

discounts, rebates and dispensing fees<br />

is, in large part, responsible for keeping<br />

these costs down. Additionally, the Entertainment<br />

Coalition, which consists of the<br />

MPI, DGA, SAG-AFTRA and WGA, was<br />

established to take advantage of the combined<br />

purchasing power of those unions’<br />

respective plans for prescription drugs.<br />

In 2012, the Plan experienced average<br />

monthly expenditures of $46 million<br />

($38.6 million Active Health Plan and<br />

$7.6 million Retiree Health Plan). In<br />

2016, those costs were approximately $56<br />

million, an increase of 22 percent over<br />

four years.<br />

While the MPI is on firm financial<br />

footing, future challenges are anticipated.<br />

During the past four years, the Plans<br />

have experienced growth in the number<br />

of active participants and retirees. The<br />

funding status of the Pension Plan is in the<br />

green zone and 13th and 14th checks will<br />

continue to be issued. The Health Plans<br />

have maintained grandfathered status<br />

under the Affordable Care Act and have<br />

remained best in class when measured<br />

against other entertainment and national<br />

plans. The IAP accepted $221 million in<br />

employer contributions in 2016.<br />

Yet, the MPI faces challenges that Plan<br />

directors are diligently working to resolve.<br />

As the overall financial position of the<br />

MPIPHP continues to be evaluated, we<br />

will focus our bargaining priorities as we<br />

head into negotiations in 2018. At the end<br />

of 2016, the Active Health Plan held 22<br />

months of reserves and the Retiree Health<br />

plan contained 10 months.<br />

In 2017 and beyond, the economic<br />

obstacles facing the Plans are considerable.<br />

These obstacles include the enormous<br />

challenges posed by an aging retiree population,<br />

rising health care costs, lower investment<br />

returns, and increased demands<br />

for services. At the same time, the country<br />

is struggling to determine what the future<br />

of health care will be. It is likely that future<br />

legislation will impact health care in ways<br />

that are unforeseeable now. Participants<br />

can help control costs of the health plan by<br />

being good consumers of their benefits. By<br />

staying in-network, utilizing generic drugs<br />

when possible, receiving maintenance<br />

medication through the mail and only utilizing<br />

necessary services, MPI participants<br />

can significantly impact the overall cost of<br />

healthcare.<br />

As another matter, the entertainment<br />

industry business model continues to<br />

shift away from traditional distribution<br />

methods (i.e., television, theatrical releases,<br />

pay television, etc.), which may impact<br />

MPI residual funding in future years. The<br />

<strong>IATSE</strong>-appointed MPI directors will continue<br />

to monitor all distribution markets<br />

and changing distribution methods to<br />

ensure that the MPIPHP is receiving the<br />

residuals that we bargained for. It is important<br />

to protect these significant fund<br />

contributions.<br />

I, along with the other directors of the<br />

Plans and local union leaders, prepare to<br />

address future challenges. Our motion<br />

picture fringe benefits have increased.<br />

The protection of the MPIPHP benefits<br />

now and in the future, will continue to be<br />

a principal priority for the Alliance.<br />

THIRD QUARTER 2017 41

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